Use of pain meds is also due to satisfaction scores given to the hospital. It is my understanding that reimbursement from Medicare and Medicaid is directly tied to the satisfaction score given in the surveys.
So..if a patient doesn't think that they received the "appropriate" treatment for their pain, they give a crappy satisfaction score, Medicare and Medicaid reduce the amount of money reimbursed to the facility.

So how many times do see the frequent fliers, who have a complete understanding of the system, complain......
" I was here yesterday for my ______( fill in the complaint) and I got fentanyl, dilaudid, morphine...and today I only get Toradol....

I see this on an ambulance, with repeat customers, I can't even imagine how bad this is in a hospital.

Yeah, I get it. Iím not going to get into an argument about this, Iím new to the site. Iíll say this: Iíve seen doctors plead with people to try different means of treatment. Iíve heard them explain the oath they took as doctors to explain the importance of their treatment. People in general donít give a crap about the docís oath or what it took them to get there, the amount of insurance they have to pay for to cover them when they TRY to save lives, just to get sued when they canít. Again they arenít without sin, we just tried to arrest a doctor for pushing pills, then he shot himself. But thatís the exception to the rule, in my experience.

A doctor in the ER prescribing 3 days worth of oxy because he works in a hospital that hasn't outlawed emergent prescriptions of narcotics in a state without a statewide database of narcotic prescriptions because some jackass decided Press-Ganey and other patient satisfaction surveys actually meant something isn't the problem.

A primary care doc prescribing and permanently reissuing prescriptions for narcotics for chronic pain is a part of the problem but shouldn't be dealt with as a criminal case. Reeducation and suspension of his DEA license maybe...or not, that depends.

The doctors running pill mills under the guise of "pain clinics" who hand out a scrip for anyone with the cash...yep, that's a big part of the problem. To bad your guy didn't off himself years ago.

Sales reps pimping doctors and handing out incentives and free shit for prescribing narcs for any and all pain complaints...big part of the problem.

Pharmaceutical bosses who withheld data that showed that their drugs were HIGHLY addictive, who pumped more and more resources into selling and advertising their drugs for use in situations where they were never intended and then ignoring all red flags for better profits...yep, also the problem. Yet none of those people have been held personally accountable. And likely never will.

I'm all for personable responsibility, and someone who out of the blue decides to try out heroin gets no sympathy from me. But there's a lot of people who got prescribed oxy for a chronic or temporary acute condition who got fucked. Because, hey! It's medicine, a doc gave it to me and I feel better when I take it, so it must be working! Right?

Narcotics have a very limited window of use in medicine and very little use in chronic pain. To late now though.

One of the biggest problems facing us with the opoid epidemic is our federal law enforcement model to challenge it is broken. Without typing a paper on this topic, Congress needs to create one, centralized counter-drug agency with wide enforcement power--and no, I'm not talking about the DEA. Basically, between DEA, HHS, FDA, HSI, and FBI, you have an ever present turf battle on these cases, and with varying jurisdictions and agency priorities, many of these cases do not get worked adequately and criminals end up slipping through the cracks.

If anybody wants more on the topic or has questions, please feel free to PM me. I have spent the past 5 years fighting the opoid epidemic.

A doctor in the ER prescribing 3 days worth of oxy because he works in a hospital that hasn't outlawed emergent prescriptions of narcotics in a state without a statewide database of narcotic prescriptions because some jackass decided Press-Ganey and other patient satisfaction surveys actually meant something isn't the problem.

A primary care doc prescribing and permanently reissuing prescriptions for narcotics for chronic pain is a part of the problem but shouldn't be dealt with as a criminal case. Reeducation and suspension of his DEA license maybe...or not, that depends.

The doctors running pill mills under the guise of "pain clinics" who hand out a scrip for anyone with the cash...yep, that's a big part of the problem. To bad your guy didn't off himself years ago.

Sales reps pimping doctors and handing out incentives and free shit for prescribing narcs for any and all pain complaints...big part of the problem.

Pharmaceutical bosses who withheld data that showed that their drugs were HIGHLY addictive, who pumped more and more resources into selling and advertising their drugs for use in situations where they were never intended and then ignoring all red flags for better profits...yep, also the problem. Yet none of those people have been held personally accountable. And likely never will.

I'm all for personable responsibility, and someone who out of the blue decides to try out heroin gets no sympathy from me. But there's a lot of people who got prescribed oxy for a chronic or temporary acute condition who got fucked. Because, hey! It's medicine, a doc gave it to me and I feel better when I take it, so it must be working! Right?

Narcotics have a very limited window of use in medicine and very little use in chronic pain. To late now though.

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Quote:

Death is a farcical pile of bullshit.

I refuse to participate.

The Oatmeal

Quote:

...it could be raining pu$$y and troops will complain and blame the leadership for not providing an equal ration of a$$holes

Billy L-Bach

Quote:

In Special Forces we had a saying: "Work hard in silence, let your success do the talking."

Hey everyone! Let's open up a city sponsored shooting gallery to assuage our liberal guilt and to allow ourselves to tell everyone that we are helping...when in fact we are just making the problem worse.

Vancouver BC did this years ago...and it's a utter failure. Didn't help with the number of deaths from OD's, sure as hell hasn't helped with the rate of addiction and turned the area around it into an open air drug market and hooker haven. Somehow I don't think anything different will be happening here; especially as it already is for some parts of the city and populace.

I hate people. Create some program to "help" by only focusing on the visible symptoms of the problem (because those are the easiest to fix and...you know...visible to the public) but ignore the root cause and avoid any effort that will have lasting change because those things are 1) very hard and 2) will have low success rates. Even though those who are successful will be truly successful.

Maybe one day people up there will finally realize that it is very true that you should be careful what you wish for. And who you vote for.

Hey everyone! Let's open up a city sponsored shooting gallery to assuage our liberal guilt and to allow ourselves to tell everyone that we are helping...when in fact we are just making the problem worse.

Vancouver BC did this years ago...and it's a utter failure. Didn't help with the number of deaths from OD's, sure as hell hasn't helped with the rate of addiction and turned the area around it into an open air drug market and hooker haven. Somehow I don't think anything different will be happening here; especially as it already is for some parts of the city and populace.

I hate people. Create some program to "help" by only focusing on the visible symptoms of the problem (because those are the easiest to fix and...you know...visible to the public) but ignore the root cause and avoid any effort that will have lasting change because those things are 1) very hard and 2) will have low success rates. Even though those who are successful will be truly successful.

Maybe one day people up there will finally realize that it is very true that you should be careful what you wish for. And who you vote for.

People are fascinated with zombies so the government is going to give them what they want.

Where is all the free alcohol for the alcoholics?

Oh well, this is what we have become now....

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In order to improve society, we have to call things as they are and deal with them accordingly!

China is laughing their asses off.... they don't forget. "Now you Americans know what it is like"!

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China is laughing their asses off.... they don't forget. "Now you Americans know what it is like"!

China is helping us kill ourselves. Shipping their poison, unregulated, to anyone with an IP address.
Putting lead in our children's toys and selling their fake, look alike stuff like cosmetics that test positive for feces.

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I won't be wronged. I won't be insulted. I won't be laid a hand on. I don't do these things to other people and I require the same from them.